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Biomedical subjects

C K Kinney

Publications and source records attributed to C K Kinney.

7 recordsLinked to original sources

Facilitating growth and development: a paradigm case for modeling and role-modeling.

This article describes an example of a paradigm case for the nursing theory of modeling and role-modeling. A synthesis of the mid-range theoretical linkages of basic need satisfaction, object attachment, and growth and developmental processes derived from the theory and paradigm are described. These theoretical linkages guide the assessment, implementation, and evaluation of the nursing care and provide the basis for describing the dynamic nurse-client relationship.

Adult↗

Modeling the client's world: a way to holistic care.

This article examines the differences between wholistic nursing and holistic nursing and proposes that the latter conceptualization is more effective for contemporary nursing care. First, a brief historical overview and critique of the two concepts is given. The nursing theory, Modeling and Role-Modeling, is presented as an example of a theoretical perspective that encompasses the holistic orientation. Case examples of how this theory has been used in clinical practice are offered.

Adaptation, Psychological↗

Age-related changes in sebaceous wax ester secretion rates in men and women.

Sustainable rates of sebaceous wax ester secretion were measured on the foreheads of 109 men and 167 women, aged 15-97. Each measurement was made after first depleting the cutaneous sebum reservoir by overnight absorption of lipid into a layer of bentonite clay. Lipid was then absorbed for 3 h into fresh clay in which two 2-cm cloth disks were embedded. The absorbed lipid was extracted from the disks with ether and analyzed for wax esters by thin-layer chromatography. For both men and women there was a wide range of wax ester secretion rates at all ages. Rates were highest in the 15- to 35-year-olds and appeared to decline continuously throughout the adult age range. Values of log(wax esters) were better correlated with age than the untransformed values of wax ester secretion. The equations of best fit of log(wax esters) vs age suggested that sebum secretion declines about 23% per decade in men and 32% per decade in women.

Adolescent↗

The evolution of a baccalaureate program for registered nurses.

Many collegiate schools of nursing are attempting to meet the needs of ever increasing numbers of RNs who are returning to school for the purpose of earning the baccalaureate degree. As non-traditional learners their professional and personal needs vary. Mechanisms have been developed and evaluated to assist the assessment of prior knowledge and skills. Support systems and program changes have been put in place to facilitate accomplishment of the goals of the RN student. The authors discuss ten years' experience with one RN-BSN program, and describe procedures for advance placement credit and special RN courses. Descriptive data and success measures of the 198 graduates of the original curriculum are presented as well as support systems and program changes that proved helpful. More than half of the graduates assumed positions with managerial responsibility. They were more active in professional organizations and nearly half had completed or were enrolled in graduate study. Nearly two-thirds responded positively about their derived benefits of the program listing specific courses, self-confidence, and improvement in critical thinking as some of the gains. Many noted an increased awareness of the need for nurses to work collectively in the pursuit of professional issues. This potential for development of strong leadership from this group in nursing is seen as an asset to our profession.

Clinical Competence↗

Transcending breast cancer: reconstructing one's self.

This article presents the author's personal journey through and beyond breast cancer. The holistic process of transcendence that results in an ongoing sense of reconstructing and integrating one's Self (mind, body, and spirit) is described. Numerous examples are provided of how listening to and trusting one's inner voice is integral to the process of transcendence and reconstruction. Nursing implications are identified along with theoretical perspectives for understanding the author's experiences.

Adaptation, Psychological↗

Variables associated with skin dryness in the elderly.

This study investigated whether sebum secretion and other external variables were associated with the occurrence of dry skin in the elderly. The sample consisted of 76 elderly white individuals ranging in age from 65 to 97 years who resided in retirement homes. Dry skin was measured through verbal report and verified by observation. Sebum was collected on dacron mesh disks and measured by quantitative thin layer chromatography. Other variables pertinent to the occurrence of dry skin were measured through structured interview. Dry skin was found in 59% of the subjects. Mean sebum secretion rate was .534 mg/10 sq cm/3 hr. Although sebum secretion rate was significantly lower in females than in males, p less than .001, sebum levels did not differ significantly as a function of dry skin for either sex. A significant association was found between severity of skin dryness and age, p less than .02. The findings refute the widely held, though untested belief, that the decreased sebaceous gland activity that accompanies aging is responsible for skin dryness in the elderly.

Age Factors↗

A reexamination of nursing role conceptions.

This study tested 101 beginning nurses for the relationships of three personality variables, ego development, sex typing, and assertiveness, to role conceptions and role conception combinations. Responses were examined on four self-completion questionnaires. Two research questions guided the study; one examined the relationships of the personality variables to role conceptions and the other examined the contribution of the personality variables to the role conception combinations. The correlation analysis for the first research question indicated that of all the variables examined, the femininity (F) and masculinity-femininity (MF) sex-typing attributes contributed most toward understanding which nurses were likely to hold particular role conceptions. Both of these sex-typing attributes were related to two role conceptions; F was related to professional role and service role conceptions, MF to bureaucratic and service role conceptions. Assertiveness was also significantly related to the professional role conception. The multivariate analysis of variance, used to examine the second research question, indicated that the nurses in the four role combinations (the number of roles held to a high degree) differed in their mean scores on some combination of one or more personality variables. Follow-up analyses indicated the MF score and the androgynous sex-typing category were both significantly higher for nurses who held all three role conceptions to a high degree.

Adult↗